Healthcare Provider Details

I. General information

NPI: 1104366368
Provider Name (Legal Business Name): JONATHAN G. TUROWSKI N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15906 MILL CREEK BLVD STE 105
MILL CREEK WA
98012-1797
US

IV. Provider business mailing address

PO BOX 24325
SEATTLE WA
98124-0325
US

V. Phone/Fax

Practice location:
  • Phone: 425-385-2009
  • Fax: 425-939-0807
Mailing address:
  • Phone: 425-385-2009
  • Fax: 425-939-0807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number308109
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: